Prevalence and Determinants of Depression among Urban High School Students: A Cross-Sectional Study from North Karnataka, India
DOI:
https://doi.org/10.55489/njcm.170120266063Keywords:
Adolescent, Becks depression inventory, Depression, Mental Health, Psychiatric Status Rating ScalesAbstract
Introduction: Depression is a common mental disorder characterized by persistent sadness, loss of interest, disturbed sleep and appetite, poor concentration, and fatigue. Adolescence is a critical transitional phase marked by rapid physical, psychological, and social changes that may predispose individuals to mental health problems such as depression. This study aimed to assess the prevalence of depression and associated risk factors among urban high school students.
Methods: A cross-sectional study was conducted among 600 high school students selected using systematic random sampling. Data were collected using a pre-tested questionnaire covering sociodemographic characteristics, personal and family history, academic performance, and extracurricular activities. Depression was assessed using Beck’s Depression Inventory.
Results: Of the participants, 329 (54.8%) were males and 271 (45.2%) were females. The overall prevalence of depression was 18.0%. Depression was significantly associated with parental education and occupation, living arrangements, sleep patterns, family history of serious or mental illness, recent death in the family, substance use or violent behavior among family members, academic failure, repetition of an academic year, and participation in extracurricular activities.
Conclusion: The study demonstrates a considerable burden of depression among urban high school students. Improving mental health awareness among parents, teachers, and communities, along with ensuring access to school-based counselling services, is essential for early identification and prevention of adolescent depression.
References
Lu B, Lin L, Su X. Global burden of depression or depressive symptoms in children and adolescents: A systematic review and meta-analysis. J Affect Disord. 2024 Jun 1;354:553-562. DOI: https://doi.org/10.1016/j.jad.2024.03.074 PMid:38490591
Yang CH, Lv JJ, Kong XM, Chu F, Li ZB, Lu W, Li XY. Global, regional and national burdens of depression in adolescents and young adults aged 10-24 years, from 1990 to 2019: findings from the 2019 Global Burden of Disease study. Br J Psychiatry. 2024 Aug;225(2):311-320. DOI: https://doi.org/10.1192/bjp.2024.69 PMid:38660761
CDC. Mental Health [Internet]. Adolescent and School Health. 2024. Available from: https://www.cdc.gov/healthy-youth/mental-health/index.html [Accessed on November 30, 2025]
Elia J. Depressive Disorders in Children and Adolescents - Pediatrics [Internet]. MSD Manual Professional Edition. 2023. Available from: https://www.msdmanuals.com/professional/pediatrics/psychiatric-disorders-in-children-and-adolescents/depressive-disorders-in-children-and-adolescents [Accessed on December 12, 2025]
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5-TR) [Internet]. Psychiatry.org. American Psychiatric Association; 2022. Available from: https://www.psychiatry.org/psychiatrists/practice/dsm [Accessed on December 12, 2025]
Hawton K, Saunders KE, O'Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373-2382. DOI: https://doi.org/10.1016/S0140-6736(12)60322-5 PMid:22726518
2021 Global Burden of Disease (GBD) [online database]. Seattle: Institute for Health Metrics and Evaluation; 2024. Available from: https://vizhub.healthdata.org/gbd-results/ [Accessed on December 12, 2025]
Murthy RS. National mental health survey of India 2015-2016. Indian J Psychiatry. 2017;59(1):21-26. DOI: https://doi.org/10.4103/psychiatry.IndianJPsychiatry_102_17 PMid:28529357 PMCid:PMC5419008
Meitei KT, Singh HS. Prevalence of depression among Indian population. Online J Health Allied Scs. 2020;18(4):12. Available at: https://www.ojhas.org/issue72/2019-4-12.html
Sinha S, Patil MS, Viveki R, Halki S. Prevalence of depression among school going adolescents in an urban area of Karnataka, India: a cross sectional study. International journal of community medicine and public health. 2020;7(5):1790-1793. DOI: https://doi.org/10.18203/2394-6040.ijcmph20201982
Hanspal I, Krishnaswamy P, Rose M, Mary T, Antony J, Johnson AR. How prevalent is depression among rural school-going adolescents: a cross-sectional study in South Karnataka. J Indian Assoc Child Adolesc Ment Health. 2019;15(2):124-139. DOI: https://doi.org/10.1177/0973134220190208
Jayashree K, Mithra PP, Nair MKC, Unnikrishnan B, Pai K. Depression and Anxiety Disorders among Schoolgoing Adolescents in an Urban Area of South India. Indian J Community Med. 2018 Dec;43(Suppl 1):S28-S32. DOI: https://doi.org/10.4103/ijcm.IJCM_209_18 PMid:30686871 PMCid:PMC6324034
Shettar D, Ravichandhiran G, Yamakanamardi B, Agadi S. Updated Brahm Govind Prasad's Socioeconomic Classification for the Year 2024. Indian J Public Health. 2025 Apr 1;69(2):234-235. DOI: https://doi.org/10.4103/ijph.ijph_911_24 PMid:40635281
Richter P, Werner J, Heerlein A, Kraus A, Sauer H. On the validity of the Beck Depression Inventory: A review. Psychopathology. 1998;31(3):160-168. DOI: https://doi.org/10.1159/000066239 PMid:9636945
Shukla NK, Shukla M, Ahmad S, Shukla R, Khan Z. A cross-sectional study on depression among school going adolescent girls in Barabanki district, Uttar Pradesh, India. Int J Contemp Pediatr. 2017;4(1):178-181. DOI: https://doi.org/10.18203/2349-3291.ijcp20164601
Jha KK, Singh SK, Nirala SK, Kumar C, Kumar P, Aggrawal N. Prevalence of Depression among School-going Adolescents in an Urban Area of Bihar, India. Indian J Psychol Med. 2017 May-Jun;39(3):287-292. DOI: https://doi.org/10.4103/0253-7176.207326 PMid:28615762 PMCid:PMC5461838
Basu G, Biswas S. Mental health and depression among school going adolescents: excerpts from a school based study of Nadia district, West Bengal. Asian J Med Sci. 2017;8(5):64-69. DOI: https://doi.org/10.3126/ajms.v8i5.17499
Zare VR, Ramesh B, Kokiwar P. Assessment of 'depression, anxiety and stress' among students of schools at RHTC area catered by private medical college in South India. Int J Community Med Public Health. 2018;5(7):3116-20. DOI: https://doi.org/10.18203/2394-6040.ijcmph20182658
Lodha RS, Patel S, Maata S, et al. Prevalence of depression amongst higher secondary school adolescents in Bhopal Madhya Pradesh. Natl J Community Med. 2016;7(11):856-858. Available from: https://njcmindia.com/index.php/file/article/view/1078
Singh MM, Gupta M, Grover S. Prevalence & factors associated with depression among school going adolescents in Chandigarh, north India. Indian J Med Res. 2017;146(2):205-215. DOI: https://doi.org/10.4103/ijmr.IJMR_1339_15 PMid:29265021 PMCid:PMC5761030
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